2019-2020 RAB Equipment Lending Program Contract (Ringette Association Of Burlington)

Print 2019-2020 RAB Equipment Lending Program Contract
PLEASE PRINT AND BRING THIS FORM WITH YOU.
Player Information
This section is for information on the child who will be using the equipment.
  1. Answer either Yes or No
Acknowledgement of program information
This section verifies you have read and understand the program outlines and obligations/responsibilities posted on the RAB Website.
  1. This box must be checked and will constitute agreement
Agreement to Provide Surety and Bond
This surety will be held in bond for the return of equipment in good and useable condition. A cheque in the amount of $500.00, dated Oct.1/19 and made payable to the Ringette Association of Burlington will be given to the Equipment Manager before equipment is released.
  1. You must check the box which will constitute agreement.
  2. Card Type:
    Card Number:
    Security Code:
    (if paying by cheque, disregard this section)
Acknowledgement of Responsibility
This signifies your acknowledgement that you accept all responsibility for this equipment being loaned to you by the Ringette Association of Burlington as outlined in the program information.
  1. You must check the box and this will constitute agreement










  2. To be filled out at time equipment is handed to player.
Parent/Guardian Information
please complete this information fully.
  1. Example: you@yourdomain.com
  2. Example: ###-###-####
Signature Block
After printing this form, please provide Parent's / Guardian's signature here:
Human Validation
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Printed from burlingtonringette.com on Sunday, September 15, 2019 at 5:41 AM